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Breast Procedures

No Scar on the Breast Incision

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Prior to the use of fiber optic technology, breast augmentation (also called breast enlargement) was performed by making an incision under the breast (inframammary), around the nipple (perioreolar), or in the armpit (axilla). For technical reasons, many plastic surgeons abandoned the under arm incision, known as the transaxillary approach.

In 1995, Dr. Burden performed the first endoscopic No Scar on the Breast augmentation in Northwest Florida. He had performed the first endoscopic breast augmentation at the University of Florida earlier that year. Since then, he has performed over 5,000 of these procedures distinguishing him as one of the few to achieve this level of experience. Dr. Burden has published articles on the endoscopic technique of placing breast implants and is currently writing a text on the procedure.

Dr. Burden is keenly aware of the importance of minimal scars and is dedicated to a natural look. Models, celebrities, and women desiring breast augmentation travel from around the world to undergo the minimally invasive, no scar on the breast enhancement by Dr Burden. The no-scar-on-the-breast augmentation also places the implant in a "Dual Plane" position. In addition to no scar on the breast, the Dual Plane positioning allows for greater coverage of the implant and minimizes the capsular contracture rate. Although many surgeons have only recently been using this position, Dr. Burden has been utilizing it for over seventeen years.

Before & After Breast Augmentation

Before & After Breast Augmentation

In 2003, Dr. Ennis was recruited to the practice for his mini-incision approach and quick healing surgical techniques. Dr Ennis has been very successful in building on the endoscopic techniques performed by Dr Burden and using his artistic background has been able to perfect the subtleties of the placement of the silicone implant through the axillary approach. Dr. Ennis' precise breast analysis and implant selection can help you plan which implant is best suited to give you a more pleasing appearance and also allows for a much shorter operation time, usually as short as 30 minutes. He frequently has patients travel from across the world to have him perform their breast augmentation near Pensacola, Mobile and Montgomery and has performed nearly 4000 of these procedures himself since he joined Dr Burden.

Other Incision Site

In addition to the Under the arm, transaxillary incision, there are two other incision sites commonly used for placement of an implant for breast augmentation:

  • Beneath the breast, inframammary fold (IMF) incision
  • Beneath the areola, periareolar incision

Many surgeons will have a preference. The surgeons at Destin Plastic Surgery have significant experience with performing augmentations through each of these incisions.

Typically, all 3 incisions will heal equally well in the same person. The selection of the incision should be based on the following:

  • If you wear a 2-piece bathing suit the IMF incision will be visible when you raise your arms and the bathing suit top rises slightly. This incision is also visible when the bathing suit top does not completely cover the inframammary fold area.
  • The most visually prominent area of the breast is the nipple areola complex. The periarealor incision is visible when topless. If you form a poor scar or a hypertrophic scar, the scar would be in a highly undesirable position. Also, this approach is often associated with loss of sensation in the nipple area around the scar.
  • The transaxillary incision places the scar remotely. That is, no scar is placed on the breast. In the unlikelihood that a bad scar should form, it is in a well-hidden place. In the underarm area, everyone has a crease and the incision is well hidden in this crease. Rarely does anyone look under your arm.

All things considered, the transaxillary incision is the best-hidden incision.

Before & After Breast Revision Surgery

Before & After Breast Revision Surgery

Note the well healed incision that is "hidden" in the crease of the armpit and barely visible 3 months after surgery using the technique Dr. Burden and Dr. Ennis pioneered called "No Scar on the Breast®."

If you are considering breast augmentation, aesthetic judgment, surgical skill, and experience are critical. Both Drs. Burden and Ennis of Destin Plastic Surgery have taught other breast augmentation surgeons at symposia across the country and have been recognized year over year as two of the top breast augmentation surgeons in the country. They currently sit on the International Physician's Advisory Board for Mentor Corporation, one of the largest breast implant manufacturers in the world. Their selection was based on experience and volume in breast enhancement surgery. This elite group will advise Mentor Corporation on their latest product development and practice management systems.

Toll Free: (866) ENHANCE 4485 Furling Lane, Destin, FL 32541
Dr. Burden

Dr. William Burden

A renowned plastic surgeon with vision, experience and an eye for innovation.

Dr. Ennis

Dr. L. Scott Ennis

A renowned plastic surgeon devoted to achieving the optimal outcome for every patient.


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